(66 days)
The ViraSTAT® FITC-Labeled Anti-Influenza test panel is intended for the qualitative detection and confirmation of influenza A and B virus isolates from infected cell cultures through the use of the ViraSTAT® FITC-Labeled Anti-Influenza Pool and the identification and confirmation of influenza A and B by typing with separate ViraSTAT® FITC-Labeled Anti-Influenza type A or B, monoclonal antibodies, respectively. Performance characteristics have not been established for direct specimen staining.
The ViraSTAT® FITC-Labeled Anti-Influenza A and B monoclonal antibodies are fluorescently-labeled antibodies for use in culture confirmation of influenza A and B infections, respectively, in standard cell culture. The virus to be detected is grown in the appropriate cell culture system, fixed on a slide or coverslip and then the cell preparation is stained with the fluorescently-labeled monoclonal antibody. The stained sample is then viewed under a fluorescent microscope for a positive or negative identification. A positive sample is determined when cells displaying typical apple-green fluorescence are observed. Fluorescence may be present in the nucleus alone, in the nucleus and the cytoplasm, or in the cytoplasm alone. A negative sample is determined when slide wells or coverslips show no specific apple-green fluorescence in the cells and have at least 50 intact red counterstaining cells per well or 50% of the monolayer remaining on the coverslips or slides that are counterstained red.
Here's a breakdown of the acceptance criteria and study details for the ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies:
1. Acceptance Criteria and Reported Device Performance
The documentation doesn't explicitly state quantitative acceptance criteria (e.g., "Sensitivity must be > 95%"). Instead, it states the performance of the ViraSTAT® device should be "equivalent to" the predicate devices. The reported performance details indicate that this equivalence was achieved:
| Acceptance Criteria (Implicit) | Reported Device Performance (ViraSTAT®) |
|---|---|
| Sensitivity for Influenza A (compared to reference antibodies) | 100% (all 363 influenza A specimens identified by reference antibodies were positive with ViraSTAT®) |
| Sensitivity for Influenza B (compared to reference antibodies) | 100% (all 99 influenza B specimens identified by reference antibodies were positive with ViraSTAT®) |
| Specificity for Influenza A and B (compared to reference antibodies) | 100% (all 500 influenza-negative specimens identified by reference antibodies were negative with ViraSTAT®) |
| Cross-reactivity | No cross-reactivity observed between Anti-Influenza A and Anti-Influenza B antibodies. No reaction with other non-influenza viruses. |
Interpretation: The ViraSTAT® device demonstrated 100% agreement with the reference monoclonal antibodies for both positive and negative influenza A and B samples, and showed no cross-reactivity, thus meeting the implicit acceptance criterion of "equivalence."
2. Sample Size and Data Provenance
- Test Set Sample Size: 962 culture isolates.
- 363 identified as influenza A
- 99 identified as influenza B
- 500 identified as influenza-negative
- Data Provenance: The majority (944) were culture isolates from fresh throat swab specimens. The rest were from frozen isolates. No country of origin is specified, but the submission is to the FDA in the USA. The study appears to be retrospective, using collected culture isolates. Four test sites were involved.
3. Number of Experts and Qualifications for Ground Truth
The document does not explicitly state the number or specific qualifications of experts used to establish the ground truth for the test set. The ground truth was established by "commercially available 510(k) marketing-cleared monoclonal antibodies" from Bartels' Viral Respiratory Screening and Identification Kit and Dako's Imagen Influenza A and B Kit. It is implied that these reference methods were interpreted by trained laboratory personnel.
4. Adjudication Method
The document does not describe an adjudication method for the test set. The performance was directly compared against the results from the predicate (reference) antibodies.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
No MRMC comparative effectiveness study was done. This study focuses on the standalone performance of the diagnostic antibodies against established reference antibodies, not on reader performance with or without AI assistance.
6. Standalone (Algorithm Only) Performance
Yes, a standalone study was performed. The "device" in this context refers to the antibody reagents. The performance data presented (sensitivity and specificity) are a direct comparison of how well the ViraSTAT® antibodies perform on culture isolates compared to the reference antibodies, without human-in-the-loop assistance influencing the antibody reaction. Human interpretation of the stained cells under a fluorescent microscope is still required, but the performance of the reagent itself is what's being evaluated as standalone.
7. Type of Ground Truth Used
The ground truth used was established by reference methods/predicate devices, specifically "commercially available 510(k) marketing-cleared monoclonal antibodies" (Bartels' Viral Respiratory Screening and Identification Kit and Dako's Imagen Influenza A and B Kit) used on cell culture isolates. This could be considered a form of expert consensus or established laboratory standard as these predicate devices themselves would have undergone validation.
8. Sample Size for Training Set
The document does not mention a separate "training set" or its sample size. This type of device (monoclonal antibodies) typically doesn't involve machine learning models that require training sets in the same way modern AI algorithms do. The "development" of the antibodies would involve laboratory work to select and validate clones, but this is distinct from how an AI training set is generally discussed. The 962 culture isolates would be considered the clinical performance validation set.
9. How Ground Truth for Training Set Was Established
As there is no explicit training set in the context of AI/machine learning, this question is not directly applicable. The "ground truth" for the development of the antibodies (e.g., confirming their binding specificity) would have been established through standard immunological and virological laboratory techniques using known influenza A and B strains and other non-influenza viruses.
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3/4/99
K 984596
510(k) SUMMARY, 807.87(h) H.
510(k) SUMMARY
| Submitters Name: | ZymeTx, Inc. |
|---|---|
| Address: | 800 Research Parkway, Suite 100Oklahoma City, OK 73104 |
| Telephone Number: | (405) 271-1314 |
| Facsimile Number: | (405) 271-1944 |
| Contact Person: | Craig D. Shimasaki, Ph.D. |
| Device NameTrade/Proprietary: | ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies |
| Common Name: | Fluorescently-labeled monoclonal antibodies for the detection of influenza A and Bviruses |
| Classification Name: | Influenza virus serological reagents have been designated Class I (general controls)by the Microbiology Device Classification Panel, Part 866, Subpart D and8663.3330 of 21 CFR. |
| Equivalent Device(s): | The anti-influenza A and B monoclonal antibodies in the ViraSTAT® FITC-Labeled Anti-Influenza A and B test panel are substantially equivalent to othermonoclonal antibodies for detection of influenza A and B such as Bartels' ViralRespiratory Screening and Identification Kit and in Dako's Imagen Influenza Aand B Kit which are FDA marketing-cleared and were used as the referenceantibodies for the clinical trials. |
| Device Description: | The ViraSTAT® FITC-Labeled Anti-Influenza A and B monoclonal antibodiesare fluorescently-labeled antibodies for use in culture confirmation of influenza Aand B infections, respectively, in standard cell culture. The virus to be detected isgrown in the appropriate cell culture system, fixed on a slide or coverslip and thenthe cell preparation is stained with the fluorescently-labeled monoclonal antibody.The stained sample is then viewed under a fluorescent microscope for a positive ornegative identification. A positive sample is determined when cells displayingtypical apple-green fluorescence are observed. Fluorescence may be present in thenucleus alone, in the nucleus and the cytoplasm, or in the cytoplasm alone. Anegative sample is determined when slide wells or coverslips show no specificapple-green fluorescence in the cells and have at least 50 intact red counterstainingcells per well or 50% of the monolayer remaining on the coverslips or slides thatare counterstained red. |
| Intended Use: | The ViraSTAT® FITC-Labeled Anti-Influenza A and B monoclonal antibodies testpanel is intended for the detection of influenza A and B virus in infected cellcultures through the use of the ViraSTAT® FITC-Labeled Anti-Influenza Pool andthe identification of influenza A and B by typing with separate ViraSTAT® FITC-Labeled Anti-Influenza type A and B, monoclonal antibodies, respectively. |
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The monoclonal antibodies contained in the ViraSTAT® FITC-Labeled Anti-Tech. Characteristics: Influenza A and B Monoclonal Antibodies test panel are similar to other available FDA marketing-cleared fluorescently-labeled available antibodies. The basis for these tests is the reaction between antigens found on these viruses and the monoclonal antibody specific to the virus type. Like other available antibodies, the ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies are developed for use as a direct immunofluorescence assay (DFA) since the ViraSTAT® test panel reagents have the FITC directly attached to the determining antibody. The ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies are also manufactured in a liquid state as are other similar antibodies. We believe that the ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies test panel is substantially equivalent to standard cell culture confirmation of influenza virus infection by fluorescently-labeled antibodies.
Clinical trial evaluations involved testing with the ViraSTAT® FITC-Labeled Performance Data: Anti-Influenza A and B Monoclonal Antibodies compared to testing with commercially available 510(k) marketing-cleared monoclonal antibodies. A total of 962 culture isolates from respiratory specimens were tested at four test sites. The majority of these, 944 were culture isolates from fresh throat swab specimens and the rest were from frozen isolates. Of the 962 specimen isolates tested, 363 were identified as influenza A and 99 were identified as influenza B with the reference antibodies. The other 500 tested as influenza-negative with the reference antibodies. There was 100% correlation of specificity and sensitivity results with the reference monoclonal antibodies and the ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies for all clinical trial specimens. All specimens identified as influenza A with the reference antibodies were appropriately positive for influenza A with the ViraSTAT®MAbs. Likewise, all specimens identified as influenza B with the reference antibodies were appropriately positive for influenza B with the ViraSTAT® MAbs. Results showed there was no cross reactivity between the ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies All specimens testing negative for influenza with the reference antibodies were also negative with the ViraSTAT® MAbs. In addition, testing of cultures of other (non-influenza) viruses with the ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies gave negative results with ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies confirming the specificity for influenza.
Performance of the ViraSTAT® FITC-Labeled Anti-Influenza A and B Conclusions: Monoclonal Antibodies was shown to be equivalent to that for the reference antiinfluenza A and B monoclonal antibodies.
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Image /page/2/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The caduceus is enclosed within a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is written around the perimeter of the circle. The text is in all caps and is arranged in a circular fashion to match the shape of the logo.
Food and Drug Administration 2098 Gaither Road Rockville MD 20850
MAR - 4 1999
Craig D. Shimasaki, Ph.D. Vice President of Research ZymeTx, Inc. 800 Research Parkway, Suite 100 Oklahoma City, OK 73104
Re: K984596
Trade Name: ViraSTAT® FITC-Labeled Anti-Influenza A and B Monoclonal Antibodies
Regulatory Class: I Product Code: GNR Dated: December 23, 1998 Received: December 28, 1998
Dear Dr. Shimasaki:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic OS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition. FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
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Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity categorization. To determine if it does, you should contact the Centers for Disease Control and Prevention (CDC) at (770)488-7655.
This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll free number (800) 638-2041 or at (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html"
Sincerely yours.
Steven Butman
Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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510(k) Number (if known): #004500 K98 45 96
Device Name: ZymeTx, Inc. ViraSTAT® FITC-Labeled Anti-Influenza Types A and B Monoclonal Antibodies
Indications For Use: The ViraSTAT® FITC-Labeled Anti-Influenza test panel is intended for the qualitative detection and confirmation of influenza A and B virus isolates from infected cell cultures through the use of the ViraSTAT® FITC-Labeled Anti-Influenza Pool and the identification and confirmation of influenza A and B by typing with separate ViraSTAT® FITC-Labeled Anti-Influenza type A or B, monoclonal antibodies, respectively. Performance characteristics have not been established for direct specimen staining.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Woody Dubois
(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number K984596
Prescription Use_x (Per 21 CFR 801.109) OR
Over-The-Counter Use (Optional Format 1-2-96)
§ 866.3330 Influenza virus serological reagents.
(a)
Identification. Influenza virus serological reagents are devices that consist of antigens and antisera used in serological tests to identify antibodies to influenza in serum. The identification aids in the diagnosis of influenza (flu) and provides epidemiological information on influenza. Influenza is an acute respiratory tract disease, which is often epidemic.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 866.9.